NDC codes

FDA NDC Directory
Product NDC (as listed)55154-9422Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55154-9422Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
55154-9422-555154942205551549422055 CUP, UNIT-DOSE in 1 BAG (55154-9422-5) / 30 mL in 1 CUP, UNIT-DOSEMarketed from Jun 7, 2011

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Mag-Al Plus XS
Generic name (nonproprietary)
magnesium hydroxide, aluminum hydroxide, simethicone
Active ingredients
Aluminum hydroxide — 2400 mg/30mLMagnesium hydroxide — 2400 mg/30mLDimethicone, Unspecified — 240 mg/30mL
Dosage form
Suspension
Route
Oral
Labeler
Cardinal Health 107, LLCNDC labeler code 55154
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 002
Marketing start
Listing expires
Other FDA classes
Skin Barrier Activity (Physiologic effect)
Identifiers
Product ID 55154-9422_0abd791a-4b77-4f12-9e04-4b8a8a8f8229SPL ID 0abd791a-4b77-4f12-9e04-4b8a8a8f8229

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N455154942205 followed by a unit qualifier and the quantity

Package 55154-9422-05. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

The FDA listing for this product does not reference a label (SPL) set.

About NDC 55154-9422

What is NDC 55154-9422?
55154-9422 is the product NDC for Mag-Al Plus XS, Aluminum hydroxide 2400 mg/30mL + 2 more ingredients suspension, listed with the FDA by Cardinal Health 107, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Mag-Al Plus XS (Magnesium Hydroxide, Aluminum Hydroxide, Simethicone).
What is the active ingredient?
Aluminum hydroxide, Magnesium hydroxide, Dimethicone, Unspecified.
Who is the labeler?
Cardinal Health 107, LLC, NDC labeler code 55154. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Mag-Al Plus XS?
1 other product NDC are listed under this name. See all Mag-Al Plus XS NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Mag-Al Plus XS NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Mag-AL Plus XSaluminum hydroxide, magnesium hydroxide, and dimethiconeAluminum hydroxide 400 mg/5mL + 2 more ingredientsSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-176200121-1762-30

Other NDCs under M 002

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 002
ProductStrengthForm · routeLabelerProduct NDC
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralHarris Teeter, LLC69256-135
Gas Relief Extra StrengthsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralCardinal Health (Leader) 7000070000-0529
Extra Strength Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralGeri-Care Pharmaceuticals, Corp57896-694
QUITA COLICOS Gas RELIEF DropssimethiconeDimethicone 20 mg/.3mLLiquidOralDLC Laboratories, Inc.24286-1533
Gas Relief Extra StrengthsimethiconeDimethicone 125 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-897
Simethicone 80 mgsimethiconeDimethicone 80 mg/1Tablet, ChewableOralProficient Rx LP82804-043
Gas Relief Ultra StrengthsimethiconeDimethicone 180 mg/1Capsule, Liquid filledOralWalgreens0363-8730
gas reliefsimethiconeDimethicone, Unspecified 250 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-482
SimethiconeDimethicone 250 mg/1Capsule, Liquid filledOralWALGREEN CO.0363-9945
gas reliefsimethiconeDimethicone, Unspecified 125 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-480
Target Gas Relief Chews Mixed Berry and StrawberrysimethiconeDimethicone 250 mg/1; Calcium carbonate 750 mg/1Tablet, ChewableOralTarget11673-548
Ultra Strength Gas ReliefsimethiconeDimethicone 180 mg/1CapsuleOralBETTER LIVING BRANDS, LLC21130-717
Simethicone 80MgsimethiconeDimethicone, Unspecified 80 mg/1Tablet, ChewableOralCardinal Health 107, LLC55154-2606
gas reliefsimethiconeDimethicone, Unspecified 180 mg/1Capsule, Liquid filledOralGLENMARK THERAPEUTICS INC., USA72657-481
extra strength Gas Relief cherry cremesimethiconeDimethicone 125 mg/1Tablet, ChewableOralAmerisource Bergen46122-811
Alcohol prep padIsopropyl alcohol 70 g/1001ClothTopicalTarget Corporation11673-139
Maximum Strength Gas ReliefsimethiconeDimethicone, Unspecified 250 mg/1Capsule, Liquid filledOralChain Drug Marketing Association, Inc.63868-975
Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralRite Aid Corporation11822-6080
simethicone gas reliefsimethiconeDimethicone 20 mg/.3mLSuspension/ dropsOralMOM Enterprises, LCC71444-788
Gas ReliefsimethiconeDimethicone 125 mg/1Tablet, ChewableOralChain Drug Marketing Association, Inc.83324-325

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